Permit II q CITY OF TIGARD PERMIT PERMIT
PERMIT #: BUP2006 -00579
COMMUNITY DEVELOPMENT DATE ISSUED: 12/12/2006
TIGARD, 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S126C0-01403
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD ZONING: C - G
SUBDIVISION: LOT: JURISDICTION: TIG
Project Description: Fire sprinklers (corridor)
REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION
CLASS OF WORK: FPS FIRST: sf N: S: E: W:
TYPE OF USE: COM SECOND: sf PROJECT OPENINGS?
TYPE OF CONST: 2N sf N: S: E: W:
OCCUPANCY GRP: TOTAL AREA: 0 sf ROOF CONST: FIRE RET?
OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED:
STOR: HT: ft GARAGE: sf OCCU SEP. RATED:
BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED
FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET:
DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC:
BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING:
VALUE: $ 10,563.00
Owner: Contractor:
WASHINGTON SQ LLC WYATT FIRE PROTECTION INC.
9585 WASHINGTON SQ. RD 9095 SW BURNHAM
TIGARD, OR 97223 TIGARD, OR 97223
Phone: Contact #: PRI 503 - 684 - 2928
FAX 503 - 684 -9657
Reg #: LIC 64077
FEES
Description Date Amount REQUIRED ITEMS AND REPORTS
[BUILD] Permit Fee 12/8/2006 $148.90
[TAX] 8% State Surcha 12/8/2006 $11.91
[FLS] FLS Pin Rv 12/8/2006 $59.56
Total $220.37
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the
Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy
of these rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: _ai Permittee Signature: . 7-1 ,a ,mal{,e_..r. :"".
•
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
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Fir Prcto;:tion y em
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Building Permit App Ct �G W eld( FOR OFFICE USE ONLY
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City of Tigard Dr 0 0 6 R Date/z V� / � eceived ��/�
/3 Permit N• a 1
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13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Ph T` ��^ one: 503.639.4171 Fax: 503.598 1960 f Y Q� 4' ' l I� Date/B . Other Permit:
Inspection Line: 503.639.4175 ^� 1 1 . e`I Date Ready / t ����
11
BUILDING pp��``\\ V I jj r Duns See Page 2 for
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Internet: www.ci.tigard.ous B19N� y1 Notified/Method. Supplemental Information
TYPE OF WORK REQUIRED DATA: 1- AND 2- FAMILY DWELLING
f New construction El Demnlitirin Permit fees* are based on the value of the work performed.
Indicate the value (rounded to the nearest dollar) of all
❑ Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the
CATEGORY OF CONSTR ION work indicated on this application.
❑ 1- and 2- family dwelling Commercial /industrial Valuation: $
❑ Accessory building ❑ Multi- family Number of bedrooms:
❑ Master builder ❑ Other: Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 17300 5(042 W 46iii AG S(\ \ New dwelling area: square feet
City/State/ZIP: Garage/carport area: square feet
Suite/bldg. /apt. no.: Project name: Mf f7i( coRR 1 tx� Covered porch area: square feet
Cross street/directions to job site: \N i.ki Nw I awartai Deck area: square feet
Other structure area: square feet
REQUIRED DATA: COMMERCIAL - USE CHECKLIST
Subdivision: 1 Lot no.: Permit fees* are based on the value of the work performed.
Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all
equipment, materials, labor, overhead, and the profit for the
}� `- DESCRIPTION OF WORK `s 1 T ��oR work indicated on this application.
l : P G" D ire e 4 p VI N 1 � -- to ot\lc 1V Valuation: $ 10 �3 .�' •
' .11 ■' , fk i , .; ■ G ti , e. ,o t� 1 Existing building area: square feet
IN N � � N t t1/49 �`� New building area: square feet
g* OWNER ❑ TENANT Number of stories:
Name: ?PR, TI%1'itNt , t Type of construction: 0 2 3
Address: , V V v . Occupancy groups:
City/State /ZIP: Existing:
Phone: ( ) Fax: ( ) New:
A PPLICANT ❑ CONTACT PERSON NOTICE
Business name: ( <Pe coN 'd'} liv -,) All contractors and subcontractors are required to be
Contact name: licensed with the Oregon Construction Contractors Board
under ORS 701 and may be required to be licensed in the
Address: jurisdiction in which work is being performed. If the
City/State /ZIP: applicant is exempt from licensing, the following reasons
apply:
Phone: ( ) I Fax: : ( ) 1 /9k 7O
E -mail: 8 ' L ii ,r/ r/ \ 33
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CONTRACTOR J ` ,56 /
Business name: y keotioN
1 J BUILDING PERMIT FEES*
Address: civic . NA HP Please refer to fee schedule.
City/State/ZIP: n `,.� e C(�ti
D 2 l� Fees due upon application
� w - 1/61N Fax: (e 3 ) (U9' OtV!1 .. 7 ►��
Phone: ( )
'� Amount received
CCB lic.: 0461
Date received:
Authorized signature: ' O This permit application expires if a permit is not obtained
within 180 days after it has been accepted as complete.
Print name: 4,.. .1" � .1" � Date: l z..-8 --OL * Fee methodology set by Tri-County Building Industry
Service Board
1\ Buildmg\Permus\FPS- PermitAppdoc 12/03 440- 4613T(I1 /02 /COM/WEB)
CIT->< +DOE TIGARD .
' BUILDING DIVISION PERMIT #: BUP2006- 006.79
' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12112/2006
Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 . ' 111
t2 (et ex.
INSPECTION WORKSHEET FOR DATE: , ; , , TIME: 7:05AM PAGE: 30
SITE ADDRESS: 09300 SW AP,HI GTON SQUARE RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NA . MvIACY'S
DESCRIPT ON: Fire sprinklers (corridor)
OWNER: WASHINGTON SQ LLC, PHONE #:
CONTRACTOR: WYATT FIRE PROTECTION INC. PHONE #: 503 - 684 - 2923
Inspection Request Scheduled For: Date: 12118/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message . •
910 Sprinkler rough -in /test 041185-01 503-6842928 Y
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Corrections /Comments /Instructions: 4
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, .. u ,e,. , w PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ' ALL OR INSPECTION ❑ ADDITI AL EES ASSESSED
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Inspector: / Date: (- 1 I Phone #: (503) 718 -
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CITY-Of TIGARD
BUILDING DIVISION PERMIT #: BUP7006•00679
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/12/2006
Phone: (503) 639- 4171nyl
Inspection Requests (24 Hrs.): (503) 639 -4175 �' . 'IL:
INSPECTION WORKSHEET FOR DATE: 02012006 TIME: 7:00Am PAGE: 39
SITE ADDRESS: 09300 SW WASHINGTON SQUARE RD CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: MACY'S
DESCRIPTION: Fire sprinklers (corridor)
OWNER: WASHINGTON SO LLC, PHONE #:
CONTRACTOR: wYATT FIRE PROTECTION INS.-- PHONE #: 503-684-2928
Inspection Request Scheduled For: Date: 12120/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message \A
999 Sprinkler final 041307 -01 603-6 -2928 Y
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Corrections /Comments /Instructions:
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L 41 12.1/2.1... '
OYier 1 "n1W -
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PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL • CALL Fro INS'ECTION ❑ ADDITIONA FE... ASSESSED
Inspector: ice /�w Date: Ct' hone #: (503) 718- `.